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Georgia rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $78.98 / $3,898.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $30.17 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $32.72 / $32.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.13 / $30.17 / $30.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $30.17 / $59.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.46 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $7.81 / $42.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $42.02